Reimbursement Specialist/Medical Biller - Patient Support Call Center - Remote (Short-term Contract)

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Job Overview

The Reimbursement Specialist/Medical Biller in the Patient Support Call Center will be responsible for managing and processing reimbursement claims, ensuring compliance with insurance regulations, and providing exceptional support to patients through effective communication. This role encompasses the verification of patient information, submission of billing documents, and follow-up on unpaid claims. The specialist will play a crucial role in facilitating financial transactions and resolving any billing issues that may arise, all while working in a remote capacity on a short-term contract basis.

Job Responsibilities

• Process and submit medical claims to insurance companies accurately and in a timely manner.
• Verify patient insurance information and benefits before treatment to ensure appropriate coverage.
• Communicate with patients regarding their billing inquiries and provide explanations for charges.
• Follow up on unpaid or denied claims to facilitate resolution and payment.
• Maintain detailed records of all billing interactions and claim statuses.
• Collaborate with healthcare providers to ensure accurate information is conveyed for reimbursement.
• Stay updated on industry regulations and billing requirements to ensure compliance.
• Prepare and distribute patient account statements and payment reminders as necessary.

Qualifications

• High school diploma or equivalent; associate or bachelor’s degree in finance, healthcare administration, or related field preferred.
• Minimum of 2 years of experience in medical billing, coding, or reimbursement.
• Strong understanding of medical terminology, healthcare regulations, and insurance processes.
• Proficiency in electronic health record (EHR) systems and billing software.
• Excellent verbal and written communication skills.
• Detail-oriented with strong analytical skills to resolve discrepancies effectively.
• Ability to work independently and manage time effectively while meeting deadlines.

Technologies & Tools

The Reimbursement Specialist will primarily utilize electronic health record (EHR) systems such as Epic or Cerner, along with billing systems like Optum or Trizetto. Proficiency in Microsoft Office Suite (Excel, Word, and Outlook) is also required for handling data and communication efficiently. Knowledge of automated billing software and patient management tools will be considered an asset.

Ideal Candidates

Ideal candidates for the Reimbursement Specialist position should possess strong attention to detail and a keen ability to manage multiple tasks simultaneously in a fast-paced environment. They should demonstrate empathy and patience while interacting with patients, along with a proactive attitude towards problem-solving. The ability to adapt to new technologies and continuing education in billing practices will further enhance their fit for this role.